Dr Jerry G Back, MD in North Charleston, SC - Medicare Internal Medicine

Dr Jerry G Back, MD is a medicare enrolled "Internal Medicine" physician in North Charleston, South Carolina. His current practice location is 2845 Tricom St, North Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 863-8100.

Dr Jerry G Back is licensed to practice in South Carolina (license number 30658) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821181868.

Contact Information

	Dr Jerry G Back, MD
	2845 Tricom St, North Charleston, SC 29406-9172
	(843) 863-8100
	(843) 553-2122

Map and Direction

Physician's Profile

Full Name	Dr Jerry G Back
Gender	Male
Speciality	Internal Medicine
Location	2845 Tricom St, North Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821181868
Provider Enumeration Date: 10/02/2006
Last Update Date: 01/14/2022

Medicare PECOS Information:

PECOS PAC ID: 6002910064
Enrollment ID: I20090311000240

Medical Identifiers

Medical identifiers for Dr Jerry G Back such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821181868	NPI	-	NPPES
C495158	Other	CO	MEDICARE GROUP NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	30658 (South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jerry G Back allows following entities to bill medicare on his behalf.

Entity Name	East Cooper Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861253981 PECOS PAC ID: 1254775687 Enrollment ID: O20240214000176

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerry G Back is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jerry G Back, MD 2845 Tricom St, North Charleston, SC 29406-9172 Ph: (843) 863-8100	Dr Jerry G Back, MD 2845 Tricom St, North Charleston, SC 29406-9172 Ph: (843) 863-8100

Reviews and Comments

Internal Medicine Doctors in North Charleston, SC

David Anthony Florez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2671 Elms Plantation Blvd, North Charleston, SC 29406 Phone: 843-797-6800 Fax: 843-797-6825
Dr. Charles Dudley Graham, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2910 Tricom St, North Charleston, SC 29406 Phone: 843-572-9211 Fax: 843-572-0457
Jenny Mccallister Riley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9313 Medical Plaza Dr Ste 103, North Charleston, SC 29406 Phone: 843-790-8280 Fax: 843-974-8500
Dr. Daniel Alden Williams, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 8992 University Blvd Fl 3, North Charleston, SC 29406 Phone: 843-792-1414
Dr. Ashley Abide Jeter, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2910 Tricom St, North Charleston, SC 29406 Phone: 843-572-9211 Fax: 843-572-0458
Dr. Darren S Sidney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9221 University Blvd, Suite 102, North Charleston, SC 29406 Phone: 843-576-0700 Fax: 843-576-0701
Kevin Michael Smith, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 9330 Medical Plaza Dr, North Charleston, SC 29406 Phone: 843-847-3225

Dr Jerry G Back, MD - Medicare Internal Medicine in North Charleston, SC